Inland Fisheries Service 17 Back River Road, New Norfolk, TAS 7140

PO Box 575, New Norfolk, TAS 7140 Australia

Ph: 03 6165 3808 Fax: 03 6173 0246

Email: infish@ifs.tas.gov.au Web: www.ifs.tas.gov.au

IFS StockingApplicationPrivateFarmDamforExclusiveFishing 2018-19.docx Page 1 of 5

Stocking (Exemption Permit) Application: Private Farm

Dam for Exclusive Fishing (triploid (Sterile) rainbow trout only)

(Current for the period 1/7/2018 – 30/6/2019, a fee of $94.80 must accompany this form)

1. Applicant Details (please print using capitals)

Last name

First name(s)

Address

Company/Business name

Postal Address

Telephone/Mobile

Email Address

2. Site Information

2.1 Is the proposed water to be stocked on one land title? Yes No

2.2 If yes, do you have legal tenure of the site?

Yes No (If Yes, attach proof of tenure documents)

2.3 If no, do all landowners approve of this stocking? Yes No

2.4 Describe the location of the proposed water to be stocked, including the following specifications:

Tasmap Grid Reference Easting: Northing:

Title Number

Lot Number

Address

IFS StockingApplicationPrivateFarmDamforExclusiveFishing 2018-19.docx Page 2 of 5

2.5 What is the area and depth of the proposed water to be stocked?

Average length (m)

Average width (m)

Average depth (m)

Maximum depth (m)

2.6 Describe the water source for the proposed water to be stocked. For example, is it piped from a

spring or creek, or surface rain water flow, or dammed gully?

2.7 Describe the quality of the water. For example, is it usually clear or muddy?

2.8 Describe the weed growth. For example, how much of surface, if any, do water weeds cover?

2.9 When was the water proposed to be stocked first filled?

3. Stocking Information

3.1 What number of fish (triploid rainbow trout) is required?

3.2 What size of fish (minimum length in mm) is required?

3.3 Provide details of any previous stockings, including the number of fish, size and species stocked.

IFS StockingApplicationPrivateFarmDamforExclusiveFishing 2018-19.docx Page 3 of 5

3.4 Describe any present stock, including an estimate of the number and size of trout now remaining

in the water.

4. Conditions of Permit

The Inland Fisheries Service (IFS) may approve the sale of rainbow trout for stocking of ponds and

dams, subject to standard conditions.

A permit fee of $94.80, payable to the IFS, is to be paid before this application can be assessed.

Note that the IFS only allows authorised person to collect and distribute trout in Tasmania.

If your application is approved, you will need to engage an authorised person to transport the fish.

The IFS does not permit individuals to collect their own fish.

The trout may only be purchased from licensed fish farms in Tasmania.

Only triploid rainbow trout are permitted for stocking farm dams.

The trout may not be artificially fed.

The trout may only be taken from the stocked water by means of angling under the current

regulations and all anglers must be licensed, including the landowner.

The trout may only be taken during the open season, i.e. between the first Saturday in August and

the Sunday nearest 30 April.

Your permit allows you to only stock the single water nominated on this application.

Upon receiving the fish the fish farm supplying the fish will sign your letter of approval with numbers

and size of fish delivered. You must send this receipted letter back to Inland Fisheries Service for any

further stocking application to be considered.

All stockings of farm dams for private fishing remain confidential and will not be published in detail by

the Service

5. Privacy Statement

Your Personal Information is required for the issuing of a stocking permit under the Inland Fisheries

Act 1995. It will be used for purposes permitted under that Act, and may be disclosed to agents of

the Crown and other organizations authorised to use it. It will be managed by the Service in

accordance with the Personal Information Protection Act 2004 and may be accessed by you upon

request. For more information, contact the Inland Fisheries Service on 6165 3808.

IFS StockingApplicationPrivateFarmDamforExclusiveFishing 2018-19.docx Page 4 of 5

6. Declaration

I/we hereby declare that all information provided in this application is true and correct.

I understand fully the regulations pertaining to the activity to which this permit applies, and accept all

the conditions.

Signed for and on behalf of, by its duly authorised officer and who by signing warrants that they have the

authority to do so

Applicant(s) Signature

Company Seal

Date

7. Items to be lodged with application

a. Any documents in support of this application

b. Application fee, being $94.80 for the issuing if a stocking permit

8. Inland Fisheries Service use only – assessment of application

All prescribed fees paid. Yes No

Applicant has complied with the conditions of any previous Stocking application

for a private farm dam for exclusive fishing. Yes No

Applicant has no conviction(s) for an offence under the Inland Fisheries Act 1995 Yes No

Application recommended approval Yes No

Assessing IFS employee comments

Assessing IFS employee name

Assessing IFS employee position

Assessing employee signature

Application approved (by the Director of Inland Fisheries) Yes No

Director of Inland Fisheries

Signature

Date:

IFS StockingApplicationPrivateFarmDamforExclusiveFishing 2018-19.docx Page 5 of 5

9. Inland Fisheries Service use only - completion of process

Exemption Permit (private farm dam stocking for exclusive fishing) prepared Date:

Exemption Permit (private farm dam stocking for exclusive fishing) signed by

Director (Date, version and document control ref of approved doc___________)

Date

Exemption Permit (private farm dam stocking for exclusive fishing) mailed to

Principal Permit holder

Date

Mailing IFS employee name

Mailing IFS employee position